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Molluscum Contagiosum

Molluscum contagiosum is a benign rash caused by a harmless pox virus. Small skin colored or pink bumps with a central dell can occur on various body areas in children but in adults are most commonly seen in the genital area. They are contagious and transmission is by skin to skin contact. They are usually asymptomatic but if irritated can become itchy, red and tender. Once they are red and tender, they tend to resolve within another 10-14 days.

Diagnosis

The diagnosis is usually made clinically based on the characteristic appearance of molluscum contagiosum. A biopsy is rarely necessary unless lesions are unusual.

Management

In children, asymptomatic lesions need not be treated because they will eventually resolve over the course of 9 to 12 months. If treatment is desired due to appearance or symptoms, a number of modal;ities may be employed. Application of the following over the counter and prescription substances may be effective: tea tree oil (including Zymaderm), sinecatechin (green tea), salicylic acid, podophyllin, imiquimod, topical retinoids and cantharidin,. At home treatments often require multiple applications and have the potential for irritation. Length of treatment is highly variable. Individual lesions can be treated in the office via cryosurgery with liquid nitrogen, via application of a chemical blistering agent called cantharidin (commonly referred to as blister beetle juice) or via pulsed dye laser. In-office treatments are highly effective in visible lesions. Some molluscum bumps are not noticeable at time of treatment and if they develop several days later may start another crop on the skin. Application of liquid nitrogen causes some discomfort due to its very cold temperature, whereas cantharidin application is painless. Both treatments can leave permanently lighter colored marks. The pulsed dye laser causes an intense rubber band snapping sensation but leaves no scar. In sexually active adults, the molluscum lesions should be treated to avoid transmission to others. Cryosurgery is usually the treatment of choice in the genital area however topical imiquimod cream or sinecatechin ointment can be employed. Lesions can also be physically removed via curettage (scraping) but this method is less commonly employed. Sexual partners should be checked for the presence of molluscum lesions to avoid reinfection.

Coping

If the decision is made not to treat molluscum lesions in children it is important to avoid irritation to the molluscum. Scratching and chronic friction can cause mollsucum to become inflamed, red and sore. A water proof bandaid may be applied to single spots especially if molluscum is located in exposed or easily scratched area. The molluscum lesions themselves usually do not itch but they commonly occur in areas of eczema prone skin. They are also known to flare eczema (atopic dermatitis).Keeping a child's eczema or atopic dermatitis under control may lessen his or her risk for development of molluscum.

Prevention

Molluscum are spread by skin to skin contact. Infected individuals should avoid skin to skin contact with others. Parents should not bathe their children together if one child has molluscum. Single lesions in exposed areas may be covered with a waterproof band aid that is renewed daily.

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SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

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definitely
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0.58%
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0.02%

Compare our service to other similar practices

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very good
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good
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
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poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
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The doctor took time to answer your questions

excellent
94.0%
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good
1.27%
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0.02%
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The doctor explained treatment options

excellent
94.3%
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
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2.18%
poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
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very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
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very poor
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Office comfort

excellent
90.9%
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good
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
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very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
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What WE DID WELL

(Answers:674)

The atmosphere was pleasent and during appointment, didnt feel judged about skin.

#12017-02-16

STAFF VERY FRIENDLY!

#22017-03-17

I liked the fact that the MA is an aesthetician too. I really think the staffis super friendly and would recomend you to my friends and family.

#32011-04-26 11:00:08

Overall I just appreciated the fact that my variety of issues were addressed, but of course there are always those questions that pop up after the fact. I appreciated the Dr & assistant's attentiveness. I also appreciated that the Dr was very conscience of what meds were pregnancy safe & not.

#42017-04-04

everyone was great

#52017-06-29

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#62011-10-19 12:56:42

Physician and medical assistant were both very friendly

#72017-01-22

Everything even your choice of music.

#82017-03-26

Professionalism

#92016-10-19

We liked everything. Great experience, and we've been to many dermatologists in the past. You are the best!

#102011-05-26 09:34:01

What can we do better?

(answers:373)

THANK YOU!

#12017-01-13

?water cooler in the waiting room?

#22017-06-09

I'm sending my whole family here. It's wonderful.

#32017-04-06

Talk a little slower

#42011-09-12 11:44:23

Information for patients to take on latest findings/research in the field

#52017-03-27

It's a little warm in the office.

#62017-08-08

u guys r great here ,very professional, n kind .love coming here ...

#72011-09-26 14:29:08

move closer to home

#82010-11-08 09:51:29

Everything was great! The only thing I would say is when I called to make an appointment for sun spot treatment to let me know that I should limit my sun exposure and wear sunblock.

#92011-05-05 13:30:08

Nothing more than today's appintment.

#102010-11-10 08:24:10
Customer Rating : 4.3

Based on 33 ratings